Tracy Manners
Nurse Practitioner, Pediatrics in Hauppauge, NY. Individual provider (NPI-1).
NPI number1033282991
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1033282991
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tracy Manners
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 831834 | NY | Yes |
Practice location
1770 Motor PkwyHauppauge, NY 11749-5260
Phone 631-434-1770
Mailing address
5 Seabrook CtStony Brook, NY 11790-3305
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